Locations
Monmouth Cardiology Associates
Neptune, NJ
My office hours
Thursday: 8:00am - 5:00pm
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Insurances accepted
Horizon Blue Cross Blue Shield of New Jersey
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SpecialtiesDoctors may have more than one area of specialty interest. Board certification in a specialty area means the doctor has completed formal training and has practice experience in that specialty, and has passed the certification examination from the corresponding accredited medical specialty board.
Doctors may have more than one area of specialty interest. Board certification in a specialty area means the doctor has completed formal training and has practice experience in that specialty, and has passed the certification examination from the corresponding accredited medical specialty board.
Cardiology
Doctor Q&A
66 Answers
15 Agrees
The number of answers this doctor has agreed with.
A 19-year-old male asked:
Dr. Lance Bergeranswered
Cardiology 33 years experience
Possible: A 19 year old with high blood pressure needs to be seen by a hypertension (blood pressure) specialist to rule out "secondary causes", meaning is there... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3.9k viewsAnswered >2 years ago
A 68-year-old female asked:
Dr. Lance Bergeranswered
Cardiology 33 years experience
Need more info: Heart failure is a syndrome with a variety of causes. In order to put this in context, it would be important to know medical history, symptoms and te... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3.9k viewsReviewed >2 years ago
A 23-year-old female asked:
Dr. Lance Bergeranswered
Cardiology 33 years experience
Hard to say...: Without looking at them. It could just be that the normal location of the ECG leads may have been switched around -- what we call "limb-lead reversal"... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3.7k viewsReviewed >2 years ago
A 46-year-old member asked:
Dr. Lance Bergeranswered
Cardiology 33 years experience
Complex question: All heart surgery carries risk. Your surgeon and cardiologist should take the time to explain this to you in an individualized manner. If you are not ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3.7k viewsAnswered >2 years ago
A 27-year-old male asked:
Dr. Lance Bergeranswered
Cardiology 33 years experience
Need more info...: Would need to know your symptoms and the results of a stress test to clarify better.
You are right to ask questions. Except in extreme emergencies, o... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3.8k viewsAnswered >2 years ago
A 39-year-old member asked:
Dr. Lance Bergeranswered
Cardiology 33 years experience
See GI: If you have trouble swallowing, you should seek expert advice. The heartburn and difficulty swallowing could be related. A GI doctor (gastroenterologi... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3.8k viewsAnswered >2 years ago
A 44-year-old member asked:
Dr. Lance Bergeranswered
Cardiology 33 years experience
Get healthy: Blood pressure is best treated with diet and exercise in conjunction with medications. I've had patients eliminate or reduce meds with weight loss.
... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3.9k viewsReviewed >2 years ago
A 36-year-old male asked:
Dr. Lance Bergeranswered
Cardiology 33 years experience
Ignore: "Time is muscle". If you have chest discomfort, call 911 ASAP. Let the experts do their job.
Created for people with ongoing healthcare needs but benefits everyone.
3.9k viewsAnswered >2 years ago
A 39-year-old member asked:
Dr. Lance Bergeranswered
Cardiology 33 years experience
Ask the physician: That is not usual. May be a "rub"', which is common. But this is an individual issue and should be addressed by the doctor who performed the ablation... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3.8k viewsReviewed >2 years ago
A 41-year-old female asked:
Dr. Lance Bergeranswered
Cardiology 33 years experience
Possible, but...: A regular stress test is about 60-70% accurate at picking up blockages. The good news is, though, that it is pretty good at picking severe blockages, ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3.6k viewsReviewed >2 years ago
A 48-year-old male asked:
Dr. Lance Bergeranswered
Cardiology 33 years experience
Yes, within reason: Once blood pressure controlled, it should be safe to exercise. You may want to get an exercise prescription from your physician. Specifically, look fo... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3.8k viewsAnswered >2 years ago
A 19-year-old male asked:
Dr. Lance Bergeranswered
Cardiology 33 years experience
See an EP doctor: Symptomatic WPW -- i.e. multiple SVT episodes -- is a good indication to consider ablative therapy. Ablation is often "curative" for WPW and SVT and s... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3.7k viewsAnswered >2 years ago
A 37-year-old male asked:
Dr. Lance Bergeranswered
Cardiology 33 years experience
Ignore: Ask your doctor if one of the newer anticoagulants is right for you. It may help simplify your life.
Created for people with ongoing healthcare needs but benefits everyone.
3.9k viewsAnswered >2 years ago
A 37-year-old male asked:
Dr. Lance Bergeranswered
Cardiology 33 years experience
Ignore: Most people with mild MVP are ok, with no long term issues.
Created for people with ongoing healthcare needs but benefits everyone.
3.9k viewsAnswered >2 years ago
A 38-year-old member asked:
Dr. Lance Bergeranswered
Cardiology 33 years experience
Moderate: If a PFO is suspected, a TEE is appropriate.
Created for people with ongoing healthcare needs but benefits everyone.
3.8k viewsReviewed >2 years ago
A 42-year-old member asked:
Dr. Lance Bergeranswered
Cardiology 33 years experience
See a physician: The only way to allay these concerns is to be evaluated by a competent, caring physician who can work this up. (S)he can provide you with an answer as... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3.8k viewsReviewed >2 years ago
A 17-year-old female asked:
Dr. Lance Bergeranswered
Cardiology 33 years experience
Move up appointment: This sounds like it needs to be evaluated sooner. You should not wait a whole month.
Created for people with ongoing healthcare needs but benefits everyone.
3.9k viewsReviewed >2 years ago
A 35-year-old male asked:
Dr. Lance Bergeranswered
Cardiology 33 years experience
Electrical issue: Bifascicular block is not necessarily associated with coronary artery disease, and, in the absence of symptoms, I would not typically recommend an ang... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3.8k viewsReviewed >2 years ago
A 19-year-old female asked:
Dr. Lance Bergeranswered
Cardiology 33 years experience
Check EKG: It could be from a left bundle branch block or pulmonary hypertension as well as AV septal defects and cardiomyopathy. If you are otherwise healthy, i... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3.8k viewsAnswered >2 years ago
A 23-year-old male asked:
Dr. Lance Bergeranswered
Cardiology 33 years experience
Yes: But more important is looking for the reason you may have non-sustained VT.
This would require a detailed evaluation by your physician.
Created for people with ongoing healthcare needs but benefits everyone.
3.8k viewsAnswered >2 years ago
A 40-year-old female asked:
Dr. Lance Bergeranswered
Cardiology 33 years experience
EKG: Sotalol "levels" are inferred indirectly by monitoring the ECG. What we look for is a "QT" interval. If the "QT" interval is too long, then would cut ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3.7k viewsReviewed >2 years ago
A 38-year-old member asked:
Dr. Lance Bergeranswered
Cardiology 33 years experience
There are a couple..: Nuclear stress with Lexiscan, persantine , adenosine or dobutamine.
Stress echo with dobutamine
Nuclear and echo stress can be done with bicycle, t... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3.7k viewsReviewed >2 years ago
A 42-year-old member asked:
Dr. Lance Bergeranswered
Cardiology 33 years experience
Variety of causes: Could be heart rhythm problems, blockages, valves or pumping problems. Could be a lung issue. Or it could simply be deconditioning. This is something... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3.7k viewsAnswered >2 years ago
A 27-year-old male asked:
Dr. Lance Bergeranswered
Cardiology 33 years experience
Treat blood pressure: And consider a stress test.
You didn't mention if there was a thickening of heart muscle, called LVH. That could cause the ECG to be abnormal, too.
Created for people with ongoing healthcare needs but benefits everyone.
3.8k viewsAnswered >2 years ago
A 46-year-old member asked:
Dr. Lance Bergeranswered
Cardiology 33 years experience
Complex: Ultimately mitral stenosis would cause heart failure. The treatment is relief of the stenosis, either by mitral balloon valvuloplasty or mitral valve ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3.8k viewsAnswered >2 years ago
A 30-year-old female asked:
Dr. Lance Bergeranswered
Cardiology 33 years experience
Probably: Cardiac issues are challenging during pregnancy. It really takes a team, including OB, anesthesia. cardiology and often a maternal-fetal-medicine phys... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3.8k viewsReviewed >2 years ago
A 37-year-old male asked:
Dr. Lance Bergeranswered
Cardiology 33 years experience
Ignore: Do exercise daily for heart failure (if your cardiologist approves).
Created for people with ongoing healthcare needs but benefits everyone.
3.9k viewsAnswered >2 years ago
A 59-year-old male asked:
Dr. Lance Bergeranswered
Cardiology 33 years experience
Possible: Almost all blood pressures medications have been associated with ED, although it is less common with diuretics like indapamide and HCTZ (hydrochloroth... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3.9k viewsReviewed >2 years ago
A 18-year-old female asked:
Dr. Lance Bergeranswered
Cardiology 33 years experience
Months, variable: Everyone is different. A lot depends on age, severity of illness and degree of vigor vs. frailty. On average younger people can expect to be back at ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3.9k viewsReviewed >2 years ago
A 39-year-old member asked:
Dr. Lance Bergeranswered
Cardiology 33 years experience
"Palpitations": Most palpitations are not dangerous. It would be helpful to have it evaluated by a physician to be sure.
Created for people with ongoing healthcare needs but benefits everyone.
3.8k viewsReviewed >2 years ago
A 31-year-old female asked:
Dr. Lance Bergeranswered
Cardiology 33 years experience
Common, but..: Worth discussing with your doctor. Fortunately, it often turns out to be nothing important, but every once in a while it can indicate a problem. I urg... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3.7k viewsAnswered >2 years ago
A 51-year-old female asked:
Dr. Lance Bergeranswered
Cardiology 33 years experience
Cardiology eval: An echo is the first screening test for "biatrial enlargement".
Created for people with ongoing healthcare needs but benefits everyone.
3.9k viewsAnswered >2 years ago
A 32-year-old female asked:
Dr. Lance Bergeranswered
Cardiology 33 years experience
It's better now: Compared to 20 years ago, we have excellent treatment for CHF. It's hard to take all these pills, but be patient and meticulous about your meds. Weigh... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3.7k viewsAnswered >2 years ago
A 63-year-old female asked:
Dr. Lance Bergeranswered
Cardiology 33 years experience
Usually benign: Most palps with a structurally normal heart are benign, meaning they are more annoying than dangerous. If there is dizziness, shortness of breath or n... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3.9k viewsAnswered >2 years ago
A 34-year-old female asked:
Dr. Lance Bergeranswered
Cardiology 33 years experience
May be normal: This is usually normal in healthy individuals. It could be associated with sleep apnea as well, especially if overweight.
Created for people with ongoing healthcare needs but benefits everyone.
3.9k viewsAnswered >2 years ago
A 36-year-old member asked:
Dr. Lance Bergeranswered
Cardiology 33 years experience
Exercise prescriptio: Exercise is typically safe for people with heart disease if it is done in a cautious and judicious manner. If there has been recent open heart surgery... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3.9k viewsReviewed >2 years ago
A 22-year-old female asked:
Dr. Lance Bergeranswered
Cardiology 33 years experience
Cardiology consult: Left ventricular hypertrophy on echo and an abnormal ECG should be eval'd by cardiology who can help decide if this is truly abnormal or if it is due ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3.9k viewsReviewed >2 years ago
A 31-year-old male asked:
Dr. Lance Bergeranswered
Cardiology 33 years experience
Common, low risk: Isolated right bundle branch block is a very common conduction system issue that traditionally has not been associated with adverse outcome, in the ab... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3.9k viewsAnswered >2 years ago
A 38-year-old male asked:
Dr. Lance Bergeranswered
Cardiology 33 years experience
Maybe: The nuclear stress is about 90% accurate. LBBB can create "false positive" where the test is abnormal and the patient is OK. Other artifacts can also ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3.9k viewsAnswered >2 years ago
A 36-year-old female asked:
Dr. Lance Bergeranswered
Cardiology 33 years experience
Not normal: The top number of 190 does not worry me as much as the resting diastolic of 90 and the increase to 110. That would indicate high blood pressure, or hy... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3.9k viewsAnswered >2 years ago
A 19-year-old female asked:
Dr. Lance Bergeranswered
Cardiology 33 years experience
PAH*, ASD: PAH has to be ruled out. Also, ASD. Some ASD's may be overlooked as the echo findings are challenging. Specifically sinus venosus and unroofed coronar... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3.8k viewsAnswered >2 years ago
A 42-year-old member asked:
Dr. Lance Bergeranswered
Cardiology 33 years experience
Talk to your doctor: Assuming you are being abated for AFib, and you have had recurrences despite medications, then it may be a good sign. The success rates are higher for... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3.8k viewsReviewed >2 years ago
A 23-year-old female asked:
Dr. Lance Bergeranswered
Cardiology 33 years experience
Call your doctor: I agree this is a long time to wait. You should call your doctors office to find out if they have received the test results.
Created for people with ongoing healthcare needs but benefits everyone.
3.6k viewsReviewed >2 years ago
A 39-year-old member asked:
Dr. Lance Bergeranswered
Cardiology 33 years experience
Seek help: This condition requires the assistance of a cardiologist
Created for people with ongoing healthcare needs but benefits everyone.
3.6k viewsReviewed >2 years ago
A 34-year-old member asked:
Dr. Lance Bergeranswered
Cardiology 33 years experience
Possibly: Insulin resistance is a precursor to diabetes.
This is treated with diet and weight loss, including an exercise regimen consisting of aerobic train... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3.8k viewsReviewed >2 years ago
A 28-year-old female asked:
Dr. Lance Bergeranswered
Cardiology 33 years experience
Talk therapy: If you are having anxiety about your health, and you are healthy, it may help to speak to a professional therapist. This can be invaluable to help yo... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3.8k viewsReviewed >2 years ago
A 37-year-old male asked:
Dr. Lance Bergeranswered
Cardiology 33 years experience
Ignore: Don't rely on medication alone for your cholesterol.
Do take an active role with diet and exercise.
Created for people with ongoing healthcare needs but benefits everyone.
3.8k viewsAnswered >2 years ago
A 58-year-old female asked:
Dr. Lance Bergeranswered
Cardiology 33 years experience
Likely inflammatory: The most likely possibilities are viral, idiopathic (meaning we don't know), rheumatologic (ie lupus or rheumatoid arthritis), cancer or other infecti... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3.9k viewsReviewed >2 years ago
A 50-year-old member asked:
Dr. Lance Bergeranswered
Cardiology 33 years experience
Possible: Blood pressure is responsive to weight, exercise and diet. So if you typically gain weight in winter, are less active and eat more food, one can imagi... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3.9k viewsReviewed >2 years ago
A member asked:
Dr. Lance Bergeranswered
Cardiology 33 years experience
Sounds reasonable: Obviously many factors need to be considered, but the anatomy you are describing would be difficult to approach with stents. Other factors such as age... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3.7k viewsAnswered >2 years ago
TestimonialsRecommendations and Thank you notes are endorsements given from patients or other doctors.
Recommendations and Thank you notes are endorsements given from patients or other doctors.
2
Recommendations
59
Thank you notes
HealthTap member
Mar 31, 2015
Dr. Berger is an amazing doctor! #nationaldoctorsday2015 #virtualflower1
HealthTap member
Mar 31, 2015
Dr. Berger is an amazing doctor! #nationaldoctorsday2015 #virtualflower1
HealthTap member
Thank you, your answer was very helpful! Thanks. Cath is 7/1/14. Hoping for news as to why I always suffer sob'
HealthTap member
Thank you, your answer was very helpful! Thanks Dr,here in Brazil is still used CK and CKMb together with tropo
HealthTap member
Thank you, your answer was very helpful! Smkr for 16yrs,working on quitting.Hv cut bk from 2pks/day to .5pk/day
Education & Training
Medical/Graduate school
null
Graduated nullMD
Medical/Graduate school
State University of New York Upstate Medical University, NY
Graduated 1990MD
Residency
MONTEFIORE MEDICAL CENTER
Completed 1993
Awards
2013 NJ Top Docs
Top Cardiologist , First Place, New Jersey - Summer
2014
Affiliations
Jersey shore university medical center
aMERICAN COLLEGE CARDIOLOGY
american society of echocardiography
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